Sunkara Tagore, Etienne Denzil, Caughey Megan E, Gaduputi Vinaya
Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave., Brooklyn, NY 11201, USA.
New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Gastroenterology Res. 2017 Feb;10(1):42-44. doi: 10.14740/gr758w. Epub 2017 Feb 21.
While an uncommon occurrence, it is possible for patients diagnosed with acute pancreatitis to develop colonic ileus, obstruction, or perforation. By extension, it is also possible to develop a small bowel obstruction following an episode of acute pancreatitis. Here, we present the case of a 44-year-old male, who after repeated attacks of acute pancreatitis, came to the emergency department with continuous, non-bloody vomiting. This patient also complained of both left upper quadrant and epigastric pain, and was subsequently diagnosed with a small bowel obstruction involving the proximal jejunum.
虽然这种情况并不常见,但被诊断为急性胰腺炎的患者有可能出现结肠麻痹、梗阻或穿孔。由此类推,急性胰腺炎发作后也有可能发生小肠梗阻。在此,我们报告一例44岁男性病例,该患者在反复发生急性胰腺炎后,因持续非血性呕吐前来急诊科就诊。该患者还主诉左上腹和上腹部疼痛,随后被诊断为累及空肠近端的小肠梗阻。